13-0192 (BLCK)-P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 13-00000192
Property Address: 47695 SOFT MOONLIGHT
APN: 649-030-069-38 -31311 -
Application description: WALL/FENCE
Property Zoning: HIGH DENSITY RESIDENTIAL
Application valuation: 2976
Applicant.- Architect or Engineer:
------------------
LICENSED CONTRACTOR'S DECLARATION
VOICE (760) 777-7012
FAX (760) 777-7011
tn�
BUILDING &-SAFETY DEPARTMENT cs��)INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 2/21/13
Owner:
DEBBIE DAVIS
47665 SOFT MOONLIGHT.
LA QUINTA, CA 92253 �4
(760)4*08-1451 fDd;
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
License Class: B LicenseNo.: 921441
1-1
C D te-2h-114? Contractor -:x
V� OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
License Law (Chapter. 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and
the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
and who does the work himself or herself through his or her own employees, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
one year of completion, the owner -builder will have the burden of proving that he or she did not build or
improve for the purpose of sale.). - .
1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
7044, Business and Professions Code: The Contractors' State License Law does not booty to an owner of
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
I am exempt under Sec. _, B.&P.C. for this reason
Date: Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that the're is a construction lending agency for the perforrnance of the
work for which this permit is issued (Sec. 3097, Civ. C.). I �
Lender's Name:
Lender's Address:
LQPER_MIT
Contractor:
HEARTH & STONE HOME REMODELING LN1
67984 CLUB HOUSE ROAD
DESERT HOT SPRINGS, CA 92241
(760)333-7677
Lic. No.: 921441
-----------------------------------------------
WORKER*S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
Code, for the performance of the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier EXEMPT . - PolicyNumber EXEMPT
I certify that, in the performance of the work for which this permit is issued, I shall not employ any
person in any manner so as to become subject to the workers' compensation laws of California,
and agree that, if I should become subject to the workers' compensation provisions of Section
3700 of the Labor,Code, I shall forthwith comply * h those provisions.
licant:
a t a: Apo
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS J$100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
conditions and restrictions set forth on this application.
1 . Each person upon whose behalf this application is made, each person at whose request and for
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
the owner, and the applicant, each agrees to, and shall defend, indemnity and hold harmless the City
of La Quinta, its officers, agents and employees for any act or omission related to the work being
performed under or following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void it work is not commenced
within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state that the above information is correct. I agree to comply with all
city and county ordinances and state laws relating to building construction, and hereby authorize representatives
of t1his,c'6un'tY to enter upon the above-mentioned property f * p ct
DaJ 2111� Signature lApplicant or A
Application Number . . . . . 13 -00000192
Permit . . . . . . WAI;L/FENCE PERMIT
Additional desc-.
Permit'Fee 54.00 Plan Check Fee
.00
Issue Date Valuation
2976
Expiration Date '8/20/13
Qty Unit,,Charge Per
Extension
BASE FEE
45.00
1.00 9.-0000 THOU. BLDG 2,001-25,000
9.00
7 ---------------- 7 ----------------------------------
Special Notes and Comments
7 --------
-INSTALL.64 L.F. TALL GARDEN WALL 4211
HIGH. PER� ORCO. BLOCK DETAIL.. 2.0 1 & CODES.
------------------------------------ 7 ----------------------------------------
Other Fees . ... . . . . ... BLDG STDS ADMIN (SB1473)
-
1.00
Fee summary, Charged Paid Credited
---------- ---------- ----------
Due
----------------- ----------
Permit Fee Total 54.00 .00, .00
54.00
Plan Check Total .00 .00 .00
.00
Oth4�r.Fee Total 1.00, .00 .06
1.00
Grand Total 55.00 .00 .00
55.-00
LQPERMIT
#
Oty6f La Quifhta
Bufldlpg a Safety DW6n
P.O. Box 1504,78-495 Calle Tampico
LaQLdnta, CA 92253 -:(760) 777-7012
Building Pennit -Application'and Tracking Sheet
Pen . nit #
ProjectAddress: 71
-Ownees Name:. C64t- . . .
-Daw/3
A- P. Number.
Address:
Legal Description:
City, ST, Ziir/,w57"w;Yq
Contz-actor
Telephone: 246.0 0-16 9-- 7
Address. 007'iry (f la 16 Aas C 1�e
Project Description:
City ST, Zip: C
Telephone: -79 3-3.3
State Lie. # ly City Lir_ 9,
Y
Arch, Engr., Designer.
IA 0 t] d�'
Address:
74 4z
City., ST, Zip:
Telephone:*
Construction Type: Occupancy:
State Lic. #:
Project type (circle one): New Add'n Alter Repair Demo
Naxne of Contaq Person:
Sq. Ft.: # Stories:
Telephone # of Contact Person:
Estimated Value of Project
APPLICANT: DO NOT WRITE BELOW THIS LINE
0
'Submittal
Req1d
Reed
TRACKNG
PERWYFEES-
plan Sets
Plan Check submitted
item Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit.
Truss C21cs.
Called Contact Person
Plan Check Balance
Title 24 Calci.
Plans pickid up
Construction
Flood plain plan
Plans resubmitted'
Mechanical
6-ading plan
2�! Rtilew, ready for correctionsfissue
Electrical
Subcoutactor List
Called Contact Person
Plumbing
Grant Deed
Plans Oicktd up
&NLL
H.OA. Approval
Plans resubmitted
I Grading'
IN ROUSE-
Wylew, ready for corrtcdonsfissue
Developer, Impact Fee
Planning Approval.
Called Contact Person
AA.P.P.
Pub. Wks. Appr
Date of permit Issue
School Fees
LTotal
Permit Fees
WATERCOLORS AT LA'QUINTA HOMEOWNER AssociATioN
ARCHITECTURAL- IMPROVEMENT APPLICATION AND REVIEW FORM
LotNu'mber:ai-" wner'Name:_"�'�_
0 Date: Z 4 1--,
Contact
Property, Address:
Nature of Improvement hLb-ck-
------- - ---- - --- - - - ------ 7 --- 7---
------- - - - ---------- I ------- - -- ---- - --
------ — ---- — ----
-7 -------------------- — ---- — --------------- -- — — --------
-Color,'if appli6ble: 16&_ Ua d
__L___Ut_Esti mate start date:-- -------
-1ocation, if applicable: _ZkX_z__: _91 hbiAA-4_-
--- -------------- -------------- ------------
D.imensions,,if applicable: _k�j_EL_j — - — ------------
Construction materials, if applicable: -04A2L4
Suppliee/ven'dor: _f� -------- Approx.'Cost:
7 ----------- 7' ------
Attach an additiohal page for description, if necessary. One -set -of plans of a�l I
improvements must be attached to this application.to show location and dimensions", or a 11
picture of the item if more appropriate. -if construction is involved, the owner is responsible
for obtaining City of La Quinta
permit to do the work.
Owner Signature:
Send the.application by any of the following:
Via email - lrene@whitestarmqmt.com
By mai I to Watercolors c/o Whiiestar Management
72-171 Highway I 11, Suite I 10
Palm Desert, CA 92260
Phone: 760.773.0123
Fax 760.773.5432
For Internal.U.se Only -
Date Received: Inspection date, if applicable:
Approval. Disapproval (circle one) Date:
Committee Signature: Board Liaison Initials:
Conditions:
-- — -------- -----
Management for Watercolors at La Quinta HOA Rev. 1.11
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